A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes. The nurse should base the explanation on which knowledge?
a. It is a less expensive method of testing.
b. It is not as accurate as laboratory testing.
c. Children are better able to manage the diabetes.
d. Parents are better able to manage the disease.
ANS: C
Blood glucose self-management has improved diabetes management and can be used successfully by children from the time of diagnosis. Insulin dosages can be adjusted based on blood glucose results. Blood glucose monitoring is more expensive but provides improved management. It is as accurate as equivalent testing done in laboratories. The ability to self-test allows the child to balance diet, exercise, and insulin. The parents are partners in the process, but the child should be taught how to manage the disease.
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An 86-year-old patient asks why her ankles have a brownish discoloration and the skin looks so thick. Which is the most accurate response by the nurse?
a. "The valves in the vessels in your legs aren't working as well as they used to, which causes the discoloration and thick-ening of your skin." b. "You probably aren't getting enough iron in your diet. We should talk to your doctor about adding an iron supplement." c. "How many years have you smoked? Ni-cotine will cause these changes in your skin." d. "These are just normal changes seen in most elderly people."
Which nursing intervention would be most effective in preventing injury in a hospitalized client with hypocalcemia of long duration?
A. Teaching the client to wear shoes when ambulating B. Applying antiembolic stockings on the client's legs C. Placing an egg-crate mattress on the client's bed D. Using a lift sheet when moving the client in bed
The most common cause of disability in the elderly is due to
A. Diabetes B. Arthritis C. Heart disease D. Chronic obstructive pulmonary disease
The goal of Newman's Theory of Health as Expanding Consciousness is the increase in conscious awareness of the congruence between:
a. self and the environment b. emotions, thoughts, and behaviors c. dependence and autonomy d. caring for others and self